Direct Anterior Total Hip Arthroplasty (THA), in Versus Outpatients : A Prospective Monocentric Study in Rennes University Hospital. (AHVACA)

Rennes University Hospital

Status: Terminated

Conditions: Direct Anterior Total Hip Arthroplasty

Treatments: Procedure: Direct Anterior Total Hip Arthroplasty

Study type: Observational

Funder types: Other

Identifiers

NCT03667339

35RC17_3084_AHVACA

Details and patient eligibility

About

The main objective is to show that cumulative length of stay over the first 45 post operative days (i.e. : primary length of stay and readmission) is significantly lower in the outpatients group than in the inpatients group

Enrollment: 1 patient

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Unilateral primary total hip arthroplasty for hip osteoarthritis, primary or secondary osteoarthritis (dysplasia or post-traumatic) or osteonecrosis
• Good enough understanding of outpatient management and patient adherence to post-operative instructions
• Sufficient patient complicance to medical orders
• Living and hygiene conditions, at least, equivalent to the ones the hospital provides
• To be of age
• Non opposition to the protocole participation

Outpatients group :

• Patient schedulded to undergo outpatient THA

Inpatients group :

• Patient schedulded to undergo inpatient THA because of not fiting the following items :

• Less than an hour distance of a Health Center that provides appropriate care with regard to the surgery
• Rapid access to a phone
• Designated driver and caretaker available (at least the first night after discharge from the hospital) after the procedure Or turning down outpatient THA

Exclusion criteria

• Anaesthetic point of view :

  • ASA physical status ≥ 3 and : unstabilize disease with appropriate treatment or lack of preoperative mutual agreement between anesthesiologist and surgeon or not inconsiderable interaction between the operation and the disease or its treatment
  • Pre-operative Hb < 12 (♀) < 13 (♂) g/L (NB : no Hb control before discharge except if excessive blood loss ; Hb < 10g/L contraindicates outpatient surgery)
  • Opioid chronic pre-operative therapy or opioid addiction

• Surgical point of view :

  • Ambulatory pre-operative status requiring use of two crutches or walking frame / distance walked < 30 m
  • THA procedure for femoral neck fracture requiring
  • Additional operative technic needed

• Adult safeguarding.

Exclusion criteria applies to all in and outpatients.

Trial design

1 participants in 2 patient groups

outpatients group

Description:

Patient schedulded to undergo outpatient Direct Anterior Total Hip Arthroplasty

Treatment:

Procedure: Direct Anterior Total Hip Arthroplasty

inpatients group

Description:

Patient schedulded to undergo inpatient Direct Anterior Total Hip Arthroplasty

Treatment:

Procedure: Direct Anterior Total Hip Arthroplasty